Re: home birth after cesarean

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could you please point me towrds some literature or study on catastrophic rupture as opposed to deshecience (sp) or smaller ruptures.

thanks, vicki

At Mon, 3 Apr 2000, Harvey S. Marchbein, M.D. wrote: >
>At Mon, 3 Apr 2000, Jessica wrote:
>>
>>At Mon, 3 Apr 2000, anonymous@obgyn.net wrote:
>>
>>>No it is not. I hate to sound so dogmatic, but VBAC have risks that are
>>>substantially greater than a typical birth, and home birth very bad idea
>>>in that circumstance.
>>
>>Several people have posted this, but I have not been able to find any
>>evidence. For instance, I found that the vast majority of the time if a
>>rupture was going to happen in a subsequent pregnancy, it would happen
>>before labor actually started. Also, that rupture in a VBAC is usually
>>much less serious that rupture in a first time mom. I'm not trying to
>>be combatative, just looking for information.
>>
>>Can you tell me more about the risks of VBAC?
>
>What you say was more liekly when discussing a classical C/S where the
>incision was vertical in the uterus. this is not so with the
>Pfannenstiel incision (transvers - bikini). Please see the thread in
>the Women's forum where this seems to have spilled over. there are pros
>and cons to all points of view. It's just too hard to keep this thread
>up on both forums and the Women's forum seems to be picking up and a,
>shall we say, little more heated.
>
>The main risk of VBAC is rupture - reported as 1 in 200 to 1 in 400. the
>risk of hysterectomy from an old study, I believe from Einstein (the
>medical school, not the guy) was 1 in 37 ruptures underwent a
>hysterectomy.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>

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